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SU0002200
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CARROLTON
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17871
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2600 - Land Use Program
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UP-99-23
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SU0002200
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Entry Properties
Last modified
1/15/2020 11:20:44 AM
Creation date
9/4/2019 10:59:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0002200
PE
2626
FACILITY_NAME
UP-99-23
STREET_NUMBER
17871
Direction
S
STREET_NAME
CARROLTON
STREET_TYPE
RD
City
ESCALON
ENTERED_DATE
10/23/2001 12:00:00 AM
SITE_LOCATION
17871 S CARROLTON RD
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\C\CARROLTON\17871\SU0002200\EH TRACK LOG.PDF
Tags
EHD - Public
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' NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> 4 <br /> LAND-USE REPORT APP# U 2 <br /> EHD RECEIVED APP.REFERRAL: l U 61 COMPLETE & SUBMIT BY� <br /> INN 12-0 DATY DATE <br /> 11319 9 ATTN• V <br /> / A.p <br /> SITE ADDRESS: � . YZ-'�. � � 5 U� <br /> In completing the Land`Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, location of house, wind direction, etc.... R <br /> Public water: PA-- Public sewage: <br /> SUMMARY OR COMMENTS: <br /> e <br /> '7-, &pp L S <br /> Q flu W <br /> r <br /> el <br /> Icz t <br /> L <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> r <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA 11`eH&k OFA'LIST _-;;Proofread report ' N- � 'Correct LAND iISL#9 :, <br /> EH ob o6 Rev 1199 F, _ ';Correct CONDITIONS) k �Logged iri LAND USE BOOKS <br /> .., <br /> -,.k <br />
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